ОТДАЛЕННЫЕ ПОСЛЕДСТВИЯ ЛАКУНАРНОГО ИНСУЛЬТА В БАССЕЙНЕ ЛЕВОЙ СРЕДНЕЙ МОЗГОВОЙ АРТЕРИИ. КЛИНИЧЕСКИЙ СЛУЧАЙ

Роман Андреевич Гапешин; Екатерина Александр Новикова

doi:10.21638/11701/spbu11.2016.304.

Authors

Роман Андреевич Гапешин Saint-Petersburg State University, 7–9, Universitetskaya nab., Saint-Petersburg, 199034, Russian Federation
Екатерина Александр Новикова Academician I. P. Pavlov First Saint-Petersburg State Medical University, 6–8, Leo Tolstoy st., Saint-Petersburg, 197022, Russian Federation

DOI:

https://doi.org/10.21638/11701/spbu11.2016.304.

Abstract

Cerebrovascular pathology is one of the most serious problems in modern medicine. The prevalence of all subtypes of ischemic strokes is about 85% from all acute cerebrovascular accidents. The lacunar subtype of ischemic stroke is defined as a small (<2 cm) area of infarction in brain tissue that generally originates from single perforating artery. It can be difficult to diagnose this type of acute cerebrovascular injury by clinical, laboratory and instrumental methods. Authors report the case of a patient 65 years old with remote effects of left medial cerebral artery (MCA) lacunar stroke of unknown age with incomplete damage of internal capsule and vascular lesions, mainly, in frontal and temporal lobes. Patient’s speech and attention became slightly better after complex salvage therapy, performed at the 2nd Neurological Department, which was confirmed by assessment on the Montreal Cognitive Assessment scale (MoCA). Refs 13. Table 1.

Keywords:

lacunar subtype, ischemic stroke, remote effects, MoCA, vascular dementia

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References

Литература

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